Document 2370 DOCN M94A2370 TI AIDS orphans. DT 9412 AU Kusimba J; Plummer F; Ndinya-Achola J; Moses S; Fish D; Kimani G; Njenga S; Department of Medical Microbiology, University of Nairobi. SO Int Conf AIDS. 1994 Aug 7-12;10(1):32 (abstract no. 100B/D). Unique Identifier : AIDSLINE ICA10/94370205 AB OBJECTIVE: To identify problems that AIDS orphaned children are facing. METHODS: A random sample of pregnant women who went to deliver in a maternity hospital in kenya was obtained for pediatric AIDS study since 1986. Pre-test counselling was done and their blood and cord blood was drawn at delivery for HIV testing. After post-test counselling next day, they were asked to visit the clinic two weeks later and thereafter for continued medical care for themselves and their children. Interview schedule as well as in-depth interviews were administered to 246 HIV +ve and 160 HIV -ve negative women who visited the clinic from October 1991. Observation was made during home visits. Descriptive statistics were used in the analysis. RESULTS: By the end of 1993, 16(6.5%) HIV +ve women and their 20(8.1%) partners were deceased. There were 85 orphans out of which 18(21%) are double from six deceased couples. 13(15%) were from mothers who were abandoned by their spouses at the time of full blown AIDS. 16(19%) were cared for by maternal relatives, 39(46%) by widows and 17(20%) by aging parents without any source of income and therefore cannot cater adequately for basic needs including food and education. Three (3.5%) orphans whose parents were known to have died of AIDS by the community were ostracized. Two of those confirmed HIV +ve and were taken to a home for HIV +ve abandoned and AIDS orphaned children. One who was confirmed HIV -ve was cared for by an aging grandparent. CONCLUSIONS: AIDS orphans are likely to suffer ostracism especially when the extended family members and the community at large know that parents have died of AIDS. Those who are looked after by either widows or aging grandparents are disadvantaged in many ways including schooling and nutrition. AIDS orphaned children deserve priority in terms of schooling, training and job opportunities. DE Child *Child Welfare Female Human HIV Seropositivity/*MORTALITY Kenya Male Pregnancy Pregnancy Complications, Infectious/*MORTALITY Prejudice MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).